

        
             <input name="ajoutercocher" id="ajoutercocher" type="button" class="ui-btn-up-b" value="ajouter une option" data-inline="true"  data-icon="plus" data-iconpos="right" />
           </p>
<fieldset data-role="controlgroup" id="optionC">
	
           <p>
             <input type="checkbox" name="" id="choice1" value="choice1" data-inline="true" data-iconpos="notext"/>
             <input name="input" type="text" value="" size="" placeholder=" option1" class="ui-input-text ui-body-c ui-corner-all ui-shadow-inset">
           </p>
             <p>
             <input type="checkbox" name="" id="choice1" value="choice1" data-inline="true" data-iconpos="notext"/>
             <input name="input" type="text" value="" size="" placeholder=" option1" class="ui-input-text ui-body-c ui-corner-all ui-shadow-inset">
           </p>
            <p>
             <input type="checkbox" name="" id="choice1" value="choice1" data-inline="true" data-iconpos="notext"/>
             <input name="input" type="text" value="" size="" placeholder=" option1" class="ui-input-text ui-body-c ui-corner-all ui-shadow-inset">
           </p>
         
      
      </fieldset>